Archive for: HHS

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Payment Innovation: COVID-19

Trump Administration Expands Medicare Telehealth Benefits

On March 17, 2020, CMS and other agencies released further guidance on the use of telehealth during the declared national emergency related to the coronavirus (COVID-19) pandemic.

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Payment Innovation: PTAC

PTAC Publishes Reports Evaluating Proposals Considered as of December 2019

PTAC published two new reports evaluating the models that PTAC reviewed and submitted to the Secretary of Health and Human Services for consideration

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Payment Innovation: Other

MACPAC Releases Agenda for February 2020 Public Meeting

MACPAC posted the agenda for their next public meeting scheduled for February 27, 2020.

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Payment Innovation: PTAC

PTAC Update: March 16 Agenda Update

PTAC has updated the agenda for the scheduled March 16 public meeting.

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Payment Innovation: Other

White House Releases FY2021 Budget Proposal Requesting $94.5 Billion in HHS Discretionary Spending

The White House released its $4.8 trillion FY 2021 budget proposal. The budget outlines the Administration’s priorities for the upcoming fiscal year.

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Payment Innovation: Other

Stakeholders Push for the Adoption of CMS and ONC Interoperability Rules

Technology companies and other stakeholders submitted a letter urging the Acting Director of the OMB and the Secretary of HHS to finalize new rules creating additional opportunities for data sharing.

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Payment Innovation: Innovation Center

CMMI Hires New Chief Technology Officer

Shannon Sartin announced in a blog post that she has been hired as the new Chief Technology Officer at the Center for Medicare and Medicaid Innovation (Innovation Center) where she will help oversee technology.

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Payment Innovation: Other

ONC Releases 2020-2025 Draft Health IT Strategic Plan

HHS released the draft 2020-2025 Federal Health IT Strategic Plan for public comment.

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Payment Innovation: Innovation Center

Brad Smith Appointed as New Head of the Innovation Center

On January 6, 2020, HHS and the CMS announced Brad Smith will serve as the Director of the Center for Medicare and Medicaid Innovation (Innovation Center) and Senior Advisor to Secretary Azar for Value-Based Transformation.

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Payment Innovation: PTAC

PTAC Submits Report on Telemedicine Proposal to Secretary: Recommends Further Development and Implementation

The Physician-Focused Payment Model Technical Advisory Committee (PTAC) submitted a new report to the Secretary of Health and Human Services (HHS) recommending the further development and implementation of the “ACCESS Telemedicine: An Alternative Healthcare Delivery Model for Rural Cerebral Emergencies.”

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Payment Innovation: Other

HHS Proposes to Update Stark and Safe Harbor Regulations to Promote Value-based Care

On October 9, 2019, the Department of HHS released regulations to update Stark and Anti-Kickback regulations to promote the implementation of value-based care.

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Payment Innovation: PTAC

Secretary Responds to PTAC Recommendations from Sept. and Dec. 2018 Public Meetings

The HHS Secretary posted comments on five recent PTAC recommendations from the September and December 2018 public meetings.

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Payment Innovation: Other

HRSA RFI: Access to Rural Health Care

HRSA and the HHS Rural Health Task Force are seeking information about access to health care in rural communities.

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Payment Innovation: Other

LAN Launches Roadmap APM Video Series

LAN launched a new educational video series covering the Roadmap for Driving High Performance in APMs.

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Payment Innovation: Other

OIG Reports Find Hospice Deficiencies Posing Risks to Medicare Beneficiaries

OIG publishes two reports identifying significant vulnerabilities in the Medicare hospice benefit that are harming beneficiaries.

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Payment Innovation: Other

HHS Seeking Participants for Quality Summit

HHS is seeking 15 industry stakeholders to join a summit responsible for drafting the Health Quality Roadmap required by President Trump’s recent Executive Order on health care transparency.

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Prescription Drug: Litigation

Judge Axes Price Disclosure Rule for Drug Ads

  The Trump administration cannot force drug manufacturers to disclose prices in their pharmaceutical ads to consumers, a federal judge ruled Monday.  

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Payment Innovation: Other

Call for Nominations for AHRQ National Advisory Council

AHRQ is seeking nominations for the National Advisory Council for Healthcare Research and Quality.

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Payment Innovation: PTAC

PTAC Calls on CMS for More Comprehensive Approach to Wound Care Delivery

The PTAC report concludes that a more comprehensive approach to wound care is needed.

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Payment Innovation: Other

GAO Recommends CMS Improve Transparency Policy for Section 1115 Waivers

On May 17, the GAO released a report recommending an improved transparency policy for Section 1115 waivers.

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Payment Innovation: Other

Comment Period for Interoperability Rules Extended to June 3

HHS extended the comment period for two proposed interoperability rules to June 3.

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Payment Innovation: Other

HCPLAN Hosts Webinar on APM Roadmap on April 3, 2019

HCPLAN to host webinar on APM roadmap on April 3, 2019.

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Prescription Drug: Other

Members Send Letter to HHS Opposing Changes to Protected Classes

On March 13, 2019, more than 70 members joined Representatives Barbara Lee (D-CA) and Will Hurd (R-TX) in sending a letter to Secretary and of Health and Human Services Alex Azar expressing opposition to the CMS proposed rule changing the six protected classes of drugs in Medicare Part D.

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Payment Innovation: PTAC

PTAC Submits Report to the Secretary; Registration Open for Upcoming Public Meeting

PTAC recommends the Making Accountable Sustainable Oncology Networks model to HHS.

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Payment Innovation: Other

HHS and OIG Releases Proposal Targeting PBMs

HHS and OIG release proposed rule targeting pharmacy benefits managers.

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Payment Innovation: Other

HHS Releases HIPAA RFI

HHS has released a request for information about how HIPAA rules could be modified to further the Secretary’s goal of promoting coordinated care. Comments are due February 11, 2019.

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Payment Innovation: Other

HHS Announces CHPL Data Challenge Winners

ONC announces winners of the Certified Health IT Product List (CHPL) Data Challenge.

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Payment Innovation: Other

Administration Releases Report on Healthcare Competition

Departments of Health, Treasury and Labor release report titled “Reforming America’s Healthcare System Through Choice and Competition.”

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Payment Innovation: Other

Hargan Announces Innovation and Investment Summit Core Participants

HH) announces core participants in the Deputy Secretary’s Innovation and Investment Summit.  The first meeting is December 18, 2018.

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Insurance Coverage: Regulation

Exchange Program Integrity Proposed Rule

The Centers for Medicare and Medicaid Services issued a proposed rule on the Health Insurance Exchanges.

EXTERNAL LINK

Payment Innovation: Other

ASPE’s Social Risk Request for Information

RFI released seeking provider and plan approaches to improve care for Medicare beneficiaries with social risk factors.

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Payment Innovation: Innovation Center

Deputy Secretary Hargan Announces Collaboration to Accelerate Innovation and Investment in Healthcare – Call for Participants

HHS accepting recommendations for participants in the  “Deputy Secretary’s Innovation and Investment Summit” working group.

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Payment Innovation: Quality Payment Program

Registration Open for 2018 LAN Summit

The Health Care Payment Learning & Action Network (LAN) is hosting their 2018 Fall Summit on Monday, October 22 at the Sheraton Tysons Hotel in Tysons, VA.

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Payment Innovation: Other

OIG Releases Request for Information on Anti-Kickback Statute and Beneficiary Inducements

The OIG published a request for information seeking stakeholder input on potential new safe harbors to the Anti-Kickback Statute and exceptions to the beneficiary inducement prohibition in the Civil Monetary Penalty Law to remove impediments to care coordination and value-based care.

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Payment Innovation: PTAC

GAO Accepting PTAC Nominations

The Government Accountability Office (GAO) is currently accepting letters of nomination and resumes for appointments to the Physician-Focused Payment Model Technical Advisory Committee (PTAC).

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Payment Innovation: PTAC

Secretary Responds to PTAC Recommendations

Secretary Responds to PTAC Recommendations; Does Not Commit to Implementing any Models but Indicates Particular Interest in Two Serious Illness Models

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Diagnostics: Litigation

ACLA Files Lawsuit Challenging CMS Implementation of PAMA Section 216

On Monday December 11, the American Clinical Laboratory Association (ACLA) filed a legal challenge to CMS’s implementation of the revised Clinical Laboratory Fee Schedule (CLFS) required under Section 216 of the Protecting Access to Medicare Act (PAMA) of 2014.

ORIGINAL ANALYSIS

Insurance Coverage: Congress

H.R. 3100 (Congressman Tom Price, M.D.)

Prohibits HHS and States from requiring physicians to participate in certain health plans or the Meaningful Use program as a condition of licensure

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